Digital Health Intervention Design and Deployment for Engaging Demographic Groups Likely to Be Affected by the Digital Divide: Protocol for a Systematic Scoping Review

Background: Digital health interventions (DHIs) refer to interventions designed to support health-related knowledge transfer and delivered via digital technologies, such as mobile applications (apps). DHIs are a double-edged sword: they have the potential to reduce health inequalities, for example by making treatments available remotely to rural populations underserved by healthcare facilities or by helping to overcome language barriers via in-app translation services. However, if not designed and deployed with care, DHIs also have the potential to increase health inequalities and exacerbate effects of the digital divide. / Objective: The objective of this study was to review ways to mitigate the digital divide through DHI design, deployment and engagement mechanisms sensitive to the needs of digitally-excluded populations. / Methods: This protocol outlines the procedure for a systematic scoping review focussing on features of DHI design and deployment that enable or hinder access to and engagement with DHIs by people from demographic groups likely to be affected by the digital divide. / Results: The review is underway and is anticipated to be completed by the end of September 2021. / Conclusions: The results will have wider implications for researchers and policy makers using DHIs for health improvement peri-pandemic and post-pandemic and will inform best practices in the design and delivery of DHIs. Clinical Trial: A summary of the protocol and any supplementary material will be registered with the Open Science Framework (OSF) and assigned a Digital Object Identifier (DOI) for long-term retrieval